Individual
DR. ALEXANDER YURYEVICH AVANESOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
26 CENTRAL AVE, REDWOOD CITY, CA 94061-3823
(650) 367-9030
(650) 367-9032
Mailing address
PO BOX 471869, SAN FRANCISCO, CA 94147-1869
(650) 281-4072
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
PSY33518
CA
103TC0700X
Clinical Psychologist
PSY33518
CA
Other
Enumeration date
01/11/2007
Last updated
05/27/2024
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